person
Lana Marie Nicotera
Mental Health Counselor in Fairbanks, Alaska
NPI 1215294905

Lana Marie Nicotera is a Mental Health Counselor based in Fairbanks, AK and is specialized in Mental Health. Lana Marie Nicotera practices in Fairbanks, AK. The NPI Number for Lana Marie Nicotera is 1215294905 and holds a License No. (Alaska).

The current practice location address for Lana Marie Nicotera is 3830 S Cushman St, Fairbanks, AK and can be reached out via phone at 907-452-1575.

Location: 3830 S Cushman St, Fairbanks, AK, 99701-7530
person
Provider Profile Details
NPI Number
1215294905
Provider Name
Lana Marie Nicotera
Credential
Provider Entity Type
Individual
Gender
Female
Address
3830 S Cushman St, Fairbanks, AK, 99701-7530
Phone Number
907-452-1575
Fax Number
Provider Enumeration Date
04/18/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
MH0157 05 AK
institution
Provider Business Practice Location Address Details
Address
3830 S Cushman St
City
State
Zip
99701-7530
Phone Number
907-452-1575
Fax Number
person
Provider Business Mailing Address Details
Address
3830 S Cushman St
City
State
Zip
99701-7530
Phone Number
907-452-1575
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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